Organization · Type 2 NPI

Confederated Tribes of the Colville Reservation

Substance Abuse Rehabilitation Facility · Keller, WA

NPI number 1760056022 Active

Practice location

11614 Highway 21 South
Keller, WA 99140

Call (509) 634-2050 Map

Mailing address

PO Box 150
Nespelem, WA 99155-0150

Specialties and licenses

Taxonomy	Code	License
Substance Abuse Rehabilitation Facility Primary	324500000X	None listed

Substance Abuse Rehabilitation Facility: A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

NPI record

NPI: 1760056022
Entity type: Organization (Type 2)
Issued: May 19, 2021
Last updated: Jun 4, 2026
Status: Active
Subpart: Yes of Confederated Tribes of the Colville Reservation

Other names

San Poil Treatment Center · doing business as

Authorized official

Amy Church
Revenue Cycle Manager
(509) 634-2783

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1760056022

Confederated Tribes of the Colville Reservation's National Provider Identifier is 1760056022, issued on May 19, 2021. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in Keller, WA. The record was last updated on Jun 4, 2026.